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1. (D) |
Which statement is correct about optical coherence tomography (OCT) ? | ||
A | OCT had high resolution than IVUS | ||
B | In patients with severe left ventricular function impairment, OCT should be used carefully | ||
C | Heparinization is recommend before performing OCT | ||
D | All the above is correct | ||
2. (D) |
Which statement is incorrect about optical coherence tomography (OCT) ? | ||
A | In OCT, the characteristics of lipid plaque are low signal, homogenous, diffuse edges, high reflectivity and high attenuation | ||
B | In OCT, the characteristics of fibrous plaque are high signal, homogeneous, poorly delineated, high reflectivity and low attenuation | ||
C | In OCT, the characteristics of calcified plaque are low signal, heterogeneous, well-lineated with harp border | ||
D | In OCT, the characteristics of red thrombus is more penetration than white thrombus | ||
3. (D) |
下列何者不是頸動脈狹窄的原因? | ||
A | 動脈粥狀硬化 | ||
B | 動脈內膜剝離 | ||
C | 動脈炎 | ||
D | 以上皆是 | ||
4. (D) |
下列敘述何者正確? | ||
A | 腦血管動脈攝影是頸動脈影像的黃金準則(gold standard) | ||
B | 一般來說,最狹窄處常位於頸動脈球部 (Carotid bulb) | ||
C | 高解析度的核磁共振影像可偵測到斑塊成份的細微變化 | ||
D | 以上皆是 | ||
5. (C) |
Percutaneous cardiopulmonary support system (PCPS) is an innovative tool to stabilize cardiogenic shock. It has the following advantages except: | ||
A | Portable, small, light weighted and can be easily and quickly set up by cardiologist via a percutaneous approach | ||
B | fast auto-priming | ||
C | require full dose anticoagulation | ||
D | restoring blood flow and oxygen delivery in severe cardiac or cardiopulmonary failure resistant to critical care treatment | ||
6. (C) |
Percutaneous cardiopulmonary support system (PCPS) can be considered in the following situations except: | ||
A | fatal ventricular tachyarrhythmia refractory to antiarrhythmic agents | ||
B | fulminant myocarditis | ||
C | unwitnessed cardiac arrest and prolong cardiopulmonary resuscitation | ||
D | hemodynamic support during primary PCI | ||
7. (C) |
下列何者非左心耳封堵術衛服部適應症? | ||
A | 房顫患者規則服用抗凝血劑仍發生缺血性中風 | ||
B | 房顫患者規則服用抗凝血劑發生缺腸胃道出血 | ||
C | 風濕性心臟病患者,無意規則服用抗凝血劑 | ||
D | 房顫患者無法長期穩定服用抗凝血劑 | ||
8. (D) |
下列何者非經導管心臟主動脈瓣膜置換手術衛服部適應症? | ||
A | STS score >10% or logistic EuroSCORE >20% | ||
B | >80 years of age | ||
C | Porcelain aorta | ||
D | Liver cirrhosis at Child C | ||
9. (D) |
請問下列敘述何者正確? | ||
A | 根據2017 年台灣血脂治療準則,針對ACS 且合併糖尿病之病人,LDL-C 治療目標為 < 100 mg/dL | ||
B | 2013 年美國ACC / AHA 血脂治療準則提出了SCORE 風險評估系統來評估病人的臨 床風險 | ||
C | 2016 年歐洲ESC/EAS 的血脂治療準則並沒有針對不同風險族群的病人提出明確的 LDL-C 治療目標 | ||
D | 根據2017 年台灣血脂治療準則,針對ACS 或stable CAD 病人則建議LDL-C 須 <70 mg/dL | ||
10. (D) |
請問下列敘述何者正確? | ||
A | 目前PCSK9 類藥物可直接單獨使用在高膽固醇血症的第一線治療 | ||
B | Mipomersen 與Lomitapide 除了可將低LDL-C 之外,也可以大幅提升HDL-C | ||
C | Mipomersen 的藥物作用為抑制微粒體甘油三酯轉運蛋白(MTP) | ||
D | Alirucomab 是一種PCSK9 類的藥物,與statin 併用可降低LDL-C 與TG,也可以提升 HDL-C | ||
11. (D) |
關於微菌叢的敘述,以下何者為非? | ||
A | 健康的腸道微菌叢協助人類維持腸道功能及免疫 | ||
B | 當微菌叢出現不良改變,即微生態失調時,易引發許多代謝性及發炎疾病 | ||
C | 腸道是多重器官失能症候群的驅動者,而微菌叢恆定受破壞是其間變化的關鍵之一 | ||
D | 肺部完全無菌,不受身體他處微生態失調影響 | ||
12. (A) |
修正重症病人微生態失調,回復至健康微菌叢的對策,以下何者為非? | ||
A | 長期併用多種抗生素 | ||
B | 補充益生菌 | ||
C | 早期腸道營養 | ||
D | 應用糞便微菌移植 | ||
13. (B) |
在食道癌併中央氣道侵犯且呼吸衰竭使用機械式呼吸器的患者中,接受氣道極彎支架 (Ultraflex stent)置放,其最主要的效果是什麼? | ||
A | 直接治療食道癌 | ||
B | 使病人增加脫離呼吸器的機率而有後續食道癌治療的機會 | ||
C | 是一種幾乎沒有併發症的治療 | ||
D | 治療後能馬上經口進食 | ||
14. (D) |
何者不是接受氣道極彎支架(Ultraflex stent)置放後的常見併發症? | ||
A | 支架位移(stent migration) | ||
B | 腫瘤內生(tumor ingrowth) | ||
C | 支架斷裂(stent fracture) | ||
D | 大量出血(massive bleeding) | ||
15. (D) |
下列哪種狀況不是造成多尿症的原因之一? | ||
A | 高血鈣症 | ||
B | 高血糖症 | ||
C | 癌症轉移至腦垂腺體 | ||
D | 高血鈉症 | ||
16. (B) |
下列哪種是癌症轉移至腦垂腺最常見之症狀? | ||
A | 視力障礙 | ||
B | 尿崩症 | ||
C | 腎上腺素低下 | ||
D | 甲狀腺素低下 |